1578778528 NPI number — DR. MILTON C HANSON M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578778528 NPI number — DR. MILTON C HANSON M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HANSON

Provider First Name:

MILTON

Provider Middle Name:

C

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1578778528

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/08/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

STR. ROMANCIERILOR, NR. 2

Provider Second Line Business Mailing Address:

BL. C4, SC. 3, ET. 1, AP. 48

Provider Business Mailing Address City Name:

BUCHAREST

Provider Business Mailing Address State Name:

ROMANIA

Provider Business Mailing Address Postal Code:

061792

Provider Business Mailing Address Country Code:

RO

Provider Business Mailing Address Telephone Number:

40722295529

Provider Business Mailing Address Fax Number:

40214441977

Provider First Line Business Practice Location Address:

STR. PRELUNGIREA GHENCEA, NR. 27

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BUCHAREST

Provider Business Practice Location Address State Name:

ROMANIA

Provider Business Practice Location Address Postal Code:

061701

Provider Business Practice Location Address Country Code:

RO

Provider Business Practice Location Address Telephone Number:

40214441994

Provider Business Practice Location Address Fax Number:

40214441977

Provider Enumeration Date:

05/13/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  19787 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .